88 year old Male; repeat labs needed for critical hyperkalemia (K 5.7)
Labs repeated, in range (5.3). Follow up in office a few weeks later. Able to determine need for kayexalate. No other issues. No Emergency Department involvement.
69 y/o female; hx: hypothyroidism. Non-Med compliant; refusing to go to Hospital or clinic. Family States altered mental status.
Family called with concerns of behavior/known severe thyroid dysfunction and not taking mediations. Refused to come to appointment in hospital. Patient given 2 liters Intravenous fluids; medications obtained by Cataldo Ambulance Service. Able to direct admit six days later - no Emergency Department involvement.
58 y/o Female; URI symptoms
Unable to get in due to HD patient and had treatment that afternoon. Supportive measures; good assessment; nasal spray sent to local pharmacy; Patient otherwise likely would have gone to Emergency Department.
78 year old Female; Hyperglycemia
Patient refusal to come to follow up appointment in HCA. Blood Sugar 475 at arrival. Administered 15 units Humolog; recheck fs 277. Emergency Department avoided.Mr. John Anderson, Designer